Obamacare for all intensive purposes is a gateway to universal healthcare via medicaid. When the ACA passed in 2010 it set up a medicaid program where the feds matched dollar for dollar states medicaid expansion. Here is a detailed explanation from the Chicago Tribune of an example in Illinois where estimated costs have ballooned from $500 Million to $2 Billion:
Starting in 2017, Illinois and other states that also expanded their programs are required to start paying a small portion of the bill, rising to no more than 10 percent of the total tab. State health officials estimated in 2012 that Illinois’ portion of the expansion would cost $573 million from 2017 through 2020.
Original projections anticipated that 199,000 residents would sign up in 2014, potentially rising to no more than 342,000. State officials estimated a monthly, per person cost of $454, and revised that number upward to $882 in the document sent to in June to federal officials.
But through December, 540,877 joined Medicaid’s ranks. State officials said thousands more likely signed up through January.
Nationally, medicaid has exploded via Obamacare (9.7 million new enrollees) which means long term federal costs for ALL taxpayers.